lecture 11: empathy and caring in medicine

patient-centered care

an individual's specific health needs and desired health outcomes are the driving force behind all health care decisions and quality measurements

-"Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions."

improve individual health outcomes, not just population health outcomes.

the primary goal and benefit of patient-centered care:

•Improved satisfaction scores among patients and their families.

•Enhanced reputation of providers among health care consumers.

•Better morale and productivity among clinicians and ancillary staff.

if patients benefit, providers and health care systems benefit through

•Strict visiting hours and visitor restrictions are a thing of the past in a patient-centered care model. Patients are given the authority to identify who can visit and when. Family members, when not in the room with the patient, they are kept informed of their loved one's progress through direct and timely updates.

•Maternity wards are being redesigned with family-friendly postpartum rooms that can accommodate the mom, new baby, and family members, who are encouraged to spend up to 24 hours a day together in the room to foster family bonding.

describe patient-centered care in the hospital setting

•emotional exhaustion,

•(low) personal accomplishment

•depersonalization of the doctor-patient relationship

three dimensions of burnout syndrome

empathy

•“the ability to understand and share the feelings of another.” It is the capacity to put oneself in another’s shoes and feel what that person is going through and share their emotions and feelings. It is the recognition and validation of a patient’s fear, anxiety, pain, and worry.

empathy

the KEY ingredient to enhancing the patient experience and patient encounter

the body, mind, and sppirit

. Empathy encompasses a connection and an understanding that includes

•associated with better adherence to medications, decreased malpractice cases, fewer mistakes, and increased patient satisfaction.

-reduce oncology pt anxiety

-lower physician burnout

-lower healthcare costs

research findings associated with empathy and compassion

compassion

•an emotional response to another's pain or suffering involving an authentic desire to help.

empathy

compassion

_________ is most commonly required to initiate ___________

•“a respectful and compassionate relationship between physicians, members of the healthcare team and their patients.”

advancing humanism in healthcare is characterized as

65%

article points out that _____% of pt satisfaction was attrributed to physician empathy

brings anxiety, illness, injury, and loneliness - and even death

the absence of patience in healthcare brings

•1. The Dictator

•2. The Uncaring Judge and Jury

•3. The Dubious Advisor

the "compassionless typecasts" common among physicians that prevent them from delivering compassionate care

•Lower overall adverse outcomes for CCU patients randomized to the prayer group compared with those randomized to the usual care group.

the power of prayer in medicine

Be Affable

Be Available

Be Able

what are the 3 As?